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A case of Henoch-Schönlein purpura and rheumatic carditis with complete atrioventricular block

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Abstract

Henoch-Schönlein purpura is the most common systemic vasculitis during childhood. Many antigenic stimuli and infectious agents have been proposed as a trigger of the disease. Group A beta-hemolytic streptococcus is the most common proposed infectious agent as a trigger for Henoch-Schönlein purpura. We report a 9-year-old boy who has Henoch-Schönlein purpura and acute rheumatic fever with complete atrioventricular block.

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Abbreviations

HSP:

Henoch-Schönlein purpura

GABHS:

Group A beta-hemolytic streptococcus

ARF:

Acute rheumatic fever

References

  1. Bagga A, Dillan M (2001) Leukocytoclastic vasculitis. In: Cassidy JT, Petty RE (eds) Textbook of pediatric rheumatology. Saunders, Philadelphia, pp 569–579

    Google Scholar 

  2. Budianskii MV, Isamukhamedov SZ (1971) Effectiveness of dexamethasone in the treatment of complete atrioventricular block of rheumatic origin. Ter Arkh 43(2):56–58

    PubMed  CAS  Google Scholar 

  3. Campana A, Cappuccio L, De Santis M, Petrone M, Di Mauro M (1986) Total atrioventricular block in recurrent rheumatic fever. G Ital Cardiol 16:95–98

    PubMed  CAS  Google Scholar 

  4. Eisenstein EM, Navon-Elkan P (2002) Acute rheumatic fever associated with Henoch-Schonlein purpura: report of three cases and review of the literature. Acta Paediatr 91:1265–1267

    Article  PubMed  CAS  Google Scholar 

  5. Emery H, Larter W, Schaller JG (1977) Henoch-Schönlein vasculitis. Arthritis Rheum 20(Suppl):385

    PubMed  CAS  Google Scholar 

  6. Friedland SW (1969) Pacemaker in rheumatic myocarditis. N Engl J Med 281(26):1489

    PubMed  CAS  Google Scholar 

  7. Gregoratas G, Abrams J, Epstein AE, Freedman RA, Hayes DL, Hlatky MA, Kerber RE, Naccarelli GV, Schoenfeld MH, Silka MJ, Winters SL, Gibbons RJ, Antman EM, Alpert JS, Gregoratos G, Hiratzka LF, Faxon DP, Jacobs AK, Fuster V, Smith SC Jr (2002) ACC/AHA/NASPE (2002) guideline update for implantation of cardiac pacemakers and antiarrhythmia devices: summary article: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/NASPE Committee to Update the 1998 Guidelines). Circulation 106:2145

    Article  Google Scholar 

  8. Gulati T, Kumar P, Dewan V, Anand VK (2004) Henoch Schönlein purpura with rheumatic carditis. Indian J Pediatr 71:371–372

    Article  PubMed  Google Scholar 

  9. Imai T, Matsumoto S (1970) Anaphylactoid purpura with cardiac involvement. Arch Dis Child 45:727–729

    Article  PubMed  CAS  Google Scholar 

  10. Kereiakes DJ, Ports TA, Finkbeiner W (1984) Endomyocardial biopsy in Henoch-Schonlein purpura. Am Heart J 107:382–385

    Article  PubMed  CAS  Google Scholar 

  11. Malik JA, Hassan C, Khan GQ (2002) Transient complete heart block complicating acute rheumatic fever. Indian Heart J 54:91–92

    PubMed  Google Scholar 

  12. Mohindra R, Pannu HS, Mohan B, Kumar N, Dhooria HS, Sehgal A, Avasthi G (2004) Syncope in a middle aged male due to acute rheumatic fever. Indian Heart J 56(6):668–669

    PubMed  Google Scholar 

  13. Ocal B, Karademir S, Oðuz D, Öner A, Şenocak F (2000). Acute rheumatic carditis in Henoch-Schönlein purpura. Int J Cardiol 74:97–98

    Article  PubMed  CAS  Google Scholar 

  14. Osman A, McCreery CJ (2000) Cardiac vasculitis in Henoch-Schonlein purpura. Circulation 101:69–70

    Google Scholar 

  15. Shah CK, Gupta R (1993) Persistent complete heart block following acute rheumatic fever in a 12 year old girl. J Assoc Physicians India 41:389–390

    PubMed  CAS  Google Scholar 

  16. Special Writing Group of the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease of the Council on Cardiovascular Disease in the Young of the American Heart Association (1992) Guidelines for the diagnosis of rheumatic fever. Jones Criteria, 1992 update. JAMA 268:2069–2073

    Article  Google Scholar 

  17. Thomas DB (1971) Complete heart block complicating rheumatic carditis. Aust Paediatr J 7:108–110

    PubMed  CAS  Google Scholar 

  18. Vernier RL, Worthern HG, Peterson RDA, Cole A, Good RA (1961) Anaphylactoid purpura: pathology of the skin and kidney and frequency of streptococcal infection. Pediatrics 27:181–193

    PubMed  CAS  Google Scholar 

  19. Zalstein E, Maar R, Zucker N, Katz A (2003) Advanced atrioventricular conduction block in rheumatic fever. Cardiology Young 13(6):491–494

    Google Scholar 

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Authors and Affiliations

  1. Department of Pediatric Cardiology, Tepecik Teaching Hospital, Izmir, Turkey

    Hasan Güven, Ali Rahmi Bakiler & Meral Kozan

  2. Department of Pediatrics, Tepecik Teaching Hospital, Izmir, Turkey

    Koray Salar & Selda Bilgin

  3. Albatros 4 Kat 4 Daire17, Mavişehir-Izmir, Turkey

    Bayram Özhan

Authors
  1. Hasan Güven
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  2. Bayram Özhan
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  3. Ali Rahmi Bakiler
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  4. Koray Salar
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  5. Meral Kozan
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  6. Selda Bilgin
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Corresponding author

Correspondence to Bayram Özhan.

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Güven, H., Özhan, B., Bakiler, A.R. et al. A case of Henoch-Schönlein purpura and rheumatic carditis with complete atrioventricular block. Eur J Pediatr 165, 395–397 (2006). https://doi.org/10.1007/s00431-006-0094-3

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  • DOI: https://doi.org/10.1007/s00431-006-0094-3

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